SURVEY QUESTIONNAIRE
IMPACT OF POVERTY ON THE ACADEMIC PERFORMANCE OF GRADE 12 STUDENTS AT OCAMPO
ACADEMY TECHNOLOGICAL INSTITUTE INC.
Name (Optional): Grade: Strand: Date:
Sex: Age: Parent's Annual Income (Amount in Figures):
How do you perceive your family's socioeconomic status?
o Low income
o Middle income
o High income
Do you receive any form of financial assistance or scholarship to support your education?
o Yes
o No
Direction: Please use the following rating scale in making your judgement. Check the box that corresponds
to your answer. (5) Always, (4) Often, (3) Sometimes, (2) Rarely, and (1) Never.
1 2 3 4 5
1. How often do you struggle to afford necessary school supplies (e.g., textbooks,
notebooks, pens)?
2. How frequently do you miss school due to lack of transportation?
3. How often do you experience hunger or food insecurity while at school?
4. How frequently do you worry about your family's ability to pay for your education
beyond high school?
5. How often do you feel stressed or anxious about financial issues affecting your
academic performance?
6. How frequently do you engage in part-time work to financially support yourself or
your family?
7. How often do you feel discouraged or demotivated in pursuing your academic
goals due to financial constraints?
8. How frequently do you seek assistance or support from school staff regarding
financial challenges affecting your education?
9. How often do you feel that your academic performance is negatively impacted by
your family's financial situation?
10. How frequently do you worry about your family's basic needs (e.g., housing,
utilities, food) instead of focusing on your studies?
11. How often do you feel supported by your teachers in understanding difficult
academic concepts?
12. How frequently do your teachers provide additional help or resources for students
facing financial difficulties?
13. How often do you receive encouragement from your teachers to pursue higher
education or career goals?
14. How frequently do you have access to extracurricular activities or programs that
support your academic and personal development?
15. How often do you feel that your school environment is inclusive and supportive of
students from diverse socioeconomic backgrounds?
16. How frequently do you participate in programs or initiatives aimed at addressing
the needs of students from low-income families (e.g., scholarship opportunities,
mentorship programs)?
17. How often do you feel that your school adequately addresses the challenges
faced by students living in poverty?
18. How frequently do you receive feedback from your teachers on your academic
progress and areas for improvement?
19. How often do you feel that your teachers understand and empathize with the
financial difficulties you face outside of school?
20. How frequently do your teachers collaborate with you to find solutions to
academic challenges exacerbated by financial constraints?
THANK YOU.
